Format

Send to

Choose Destination
Asian J Surg. 2019 Feb 18. pii: S1015-9584(18)30683-3. doi: 10.1016/j.asjsur.2019.01.007. [Epub ahead of print]

Effects of antecolic versus retrocolic duodenojejunostomy on delayed gastric emptying after pyloric preserving pancreaticoduodenectomy in patients with periampullary tumors.

Author information

1
Department of General and Vascular Surgery, Tabriz University of Medical Science, Tabriz, Iran. Electronic address: fkakaei@yahoo.com.
2
Department of General and Vascular Surgery, Tabriz University of Medical Science, Tabriz, Iran. Electronic address: bfakhree@yahoo.com.
3
Department of General and Vascular Surgery, Tabriz University of Medical Science, Tabriz, Iran. Electronic address: amirarsalan_azizi@yahoo.com.
4
Department of General and Vascular Surgery, Tabriz University of Medical Science, Tabriz, Iran. Electronic address: tooraj_asvadi2005@yahoo.com.
5
Faculty of Medicine, Tabriz University of Medical Science, Tabriz, Iran. Electronic address: kowsar.tarvirdi91@gmail.com.
6
Department of Surgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran. Electronic address: b_sanei@med.mui.ac.ir.

Abstract

BACKGROUND/OBJECTIVE:

Delayed gastric emptying (DGE) is one of the most frequent complications after pyloric preserving pancreaticoduodenectomy (PPPD). The aim of this study is to evaluate the effect of antecolic versus retrocolic reconstruction of gastroentric anastomosis on DGE after PPPD.

METHODS:

30 patients with diagnosis of operable periampullary malignancies who candidate for PPPD, randomized in two equal groups. Gastroentric reconstruction were done in two methods: antecolic and retrocolic. All data were collected by the same person who was completely blinded to the type of the procedure. Duration of the surgery, volume of bleeding and total volume of intraoperative blood product transfusion, time to nasogastric tube (NGT) removal, time to solid fluid toleration, volume of NGT secretions, need for NGT reinsertion, daily nausea after NGT extraction, fistula or leakage, gastric leakage, biliary leakage, postoperative abdominal or gastrointestinal bleeding requiring another operation, wound infection, intra-abdominal abscess, and any other systemic complications were measured and then analysed with SPSS software.

RESULTS:

According to the results, there was no significant differences between antecolic and retrocolic groups in terms of DGE (p = 0.75). Also, there were no significant differences between two groups in terms of duration of operation, volume of bleeding, blood product requirement, volume of NGT secretions, time to NGT removal, number of NGT re-insertion, time to tolerate solid foods, number of days of vomiting after NGT removal, total hospital stay.

CONCLUSION:

The route of gastroentric (antecolic and retrocolic) reconstruction has no impact on DGE after PPPD.

KEYWORDS:

Antecolic; Delayed gastric emptying; Pancreaticoduodenectomy; Retrocolic

PMID:
30792049
DOI:
10.1016/j.asjsur.2019.01.007
Free full text

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center